Title:	<Name of Policy>
Affected body:	<Group or Committee>
Approved by:	<Group or Committee>	Date Approved:	<TBD>
To Be Reviewed:	<Months, Years…Not Required>	Date last Reviewed:	None
Date this version proposed:	<date>
Proposed by, representing:	<author>

Purpose & Background: <brief description, reason for policy…>

Policy:

<Describe the rules, key points that make up the Policy…

Use as much detail as needed to make the intent clear and to avoid misinterpretation.

Example cases are not necessary but may be helpful.

No specific presentation (narrative, bulleted list, etc.) is required. The goal is for clarity.

…end of Policy section>

Other Considerations:

<Optional section. Describe other elements or interactions that may be related to this policy, though not specifically part of the policy itself.>

Procedural Steps:

<Optional section. If there are specific procedures or sequential steps to be followed in accordance with this policy, describe them here.>